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Active
Organization subpart
No

Provider details

NPI number
Authorized official
OMEGA ARMSTRONG (EXECUTIVE DIRECTOR)
(919) 308-6510
Entity
Organization

Contact information

Practice address
510 MAYMOUNT DR, DURHAM, NC 27703-3657
(919) 596-8480
(919) 596-8480
Mailing address
510 MAYMOUNT DR, DURHAM, NC 27703-3657
(919) 596-8480
(919) 596-8480

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MHL-032-494
NC

Other

Enumeration date
08/11/2009
Last updated
08/11/2009
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